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Individual

REBECCA N ICHORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD417703
PA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD417703
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001712336
PA
05
8686700
NJ
Enumeration date
07/24/2006
Last updated
04/18/2013
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